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KMID : 0377819900100010038
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Diagnosis and Treatment
1990 Volume.10 No. 1 p.38 ~ p.47
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THE RECENT CHANGES IN CARDIOPULMONANY RESUS-CITATION(Ⅰ)
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Abstract
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The clinical experiences and animal studies of cardiopulmonary resuscitation (CPR ), since the y advent of CPR in 1960 when external chest compressions were described by Kouwenhoven and Jude, have resulted in the important advances in medicine. But, a number of questions and controversies about the physiology and pharmacology of CPR have arisen in the recent few years.
Some of these controversial issues include the mechanisms of blood flow during CPR, anatomic differences between infants, older children and adults, effects of drug such as calcium blockers on vital organ blood flow during ischemia, and new information regarding glucose metabolism and acid-base factors during ischeinia.
American Heart Association recommended a number of changes for CPR in 1986. The number of chest compressions per minute have been mcreased for adults from 60 to a minimum of 80 and preferably 100 per min. Changes have been made also in recommendation covering the indiscriminate use of sodium bicarbonate and calcium chloride. For CPR in children, hand position for chest compressions has been altered to conform with the true anatomy of the child.
This article reviewed the relevant literatures in order to elucidate the recent controversial issues of clinical CPR.
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